| NPI | 1245317452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN BRADY SAND President 713-473-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: TX 2852) |
| Additional Taxonomies | 111NI0900X Chiropractor, Internist (Licence: TX 2852) |
| 111NN1001X Chiropractor, Nutrition (Licence: TX 2852) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: TX 2852) | |
| 111NX0100X Chiropractor, Occupational Health (Licence: TX 2852) | |
| 111NX0800X Chiropractor, Orthopedic (Licence: TX 2852) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-01-28 |